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HomeMy WebLinkAboutPermit Fire Damage Report 2009-10-14 Status Iss u ed eITY OF SPRINGFIELD 'I Building/C~mbination Permit PERMIT NO: €OM2009-01508 ISSUED: 10/14/2009 APPLIED: !10/14/2009 EXPIRES: /04/14/2010 VALUE: i $':700.00 . " 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726_3769 Inspection Line PROJECT DESCRIPTION: Springfield TYPE OF WORK: Apartment Building . . I I: TYPE OF USE: Remodel Fire Damage: Replacing Sheet Rock, Electrical Fixtures, and Plumbing Fixtures, Adding Electric Heaters. (Vert. and Horiz. I-hour Assemblies) , Commercial SITE ADDRESS: 158 17TH ST APT 9 ASSESSOR'S PARCEL NO.:. 1703363103100 Owner: Address: Contractor Type Mechanical PJS REAL ESTATE LLC 51 Ja,ua:) 15761 E ALTA VISTA WAYtvV8G-G88-00~-~ 'al.\' JOpaQwnu SAN JOSE CA 95117o\reO\IHON ~';!l:~,~~" a,~~,uao all' 5Ul~\~:M euu4U...'....T :. ',.:'=''In(j~ UIB\qo /\l:I\.M "_-~\ '~f"'\ 11\ . f,Q 5a\nJ al.\, It C0N;rRA€l1l0RJINFORMA:J;lON I - ~OO-G9~ ~~ ~a\riJ a501l1 'o,.f~vs'3\liJ MOlloI Contnict6~18 uo5alO all' f,q pa,dop 'NOll N3!d~ense INNOVAT!X~.\Arnlm€1 Mill uo5alO. . 161742 BUILDING INFORMATION I I " Expiration Date ,. 10/11/2010 Phone 541-746-1040 I, # of Units: I # of Stories: 2 Lot Size: Primary Occupancy Group: R2 Height of Structure Sq Ft 1St Floor: 567 I Secondary Occupancy Group: Type of Heat: Electric Sq Ft 2~d Floor: Primary Construction Type VB Water Type: Electric Sq Ft Basement: Secondary Construction Type: Range Type: Electric Sq Ft Garage/Carport I> # of Bedrooms: I Energy Path: Sq Ft Qther: Sprinkled Building: No Occupaht Load: Ii , DEVELOPMENT INFORMATION I " I :;REQUIRED PARKING " !:Total: ,: Handicapped: Compact: Frontyard Setback: Side I Setback: Side 2 Setb,ack: Rearyard Setback: Solar Setbacks: Overlay Dist: NOTICE: # Street Trees R!W: HE WORK T cRaAed I@.f'<l.\Rlildt 1 THIS PERM\ '~~of:i?:>"~\>3'<frwM\T IS NOT ~~:~,9~~~~~f'I U~~~ ABANDONED FOR v...........- --.""'...... ANY.18cr@BLJ~~OVEMENTSI Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuatio~ Description' Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value 1: Date Calculated Pal[e I of 3 '! I Status Iss u ed eITY OF SPRINGFIELD 1i Building/Combination Permit I , " PERMIT NO: COM2009-01508 ISSUED: 10/14/2009 APPLIED: 10/1412009 EXPIRES: 04/14/2010 . VALUE: $!:700.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Estimate Estimate $1.00 31,000.00 " $31,OO~.00 $31,000.00 A 10/14/2009 Total Value of Project F~p~. ~ $60.02 $25.01 $326.17 $95.00 $58.00 $21.00 10/14/09 10/14/09 10114/09 10/14/09 10/14/09 10/14/09 Receipt Number " 'I 2200900000000001181 2200900000000001181 2200900000000001181 2200900000000001181 " 2200900000000001181 2200900000000001181 I' Ii " , " ,I Fee Description + 12% State Surcharge + 5% Technology Fee Building Permit Fixture Mechanical-Value Minimum/Adjustment Mechanical Amount Paid Date Paid Total Amount Paid $585.20 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will ;be made the following work day. " ~lrp1,I~ Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Firewall: Located and constructed according to plans. Final Building: After all required inspections have been requested and approved and the bJilding is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Framing Inspection: Prior to cover and after all rough in inspections have been approved. , Page 2 of 3 j _41i~~~~.IIiJ'~,IQ~ . . ."; ",:' . ~,-"'- .. r., '':~'t'. Status Issued eITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01508 ISSUED: 10/1412009 APPLIED: 10/14/2009' EXPIRES: 04/14/2010 VALUE: $ 700.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, I state and agree, that I have carefully examined the completed application and do hereby ,certify that all information hereon is true and correct, and 1 further certify that any and all work performed shall be done in accordance with tbe Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at tlie proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all ~',"~,ru"'o". 10/14/ ()<f Owner or Contractors Signature Date I I Page3 of 3 . ';,.Xr.~"%"""'::':--;H':'"""'~'"='""':"=':"o/-'_<<I<tJ::c::';;;" .,,:.~:.~ --:c:',,,:'" !M[)EI'ARTMENT~USEONl:Y, " g=-",4,;.,%.; -;;;;:L-;'Sh;L'i;s-;,r,,;jfI/.~:;$t;=0f*~4tJt Structural Permit Application Pennit noei ~ J Se€ii) I Date: 1-8 - J l' ~ G?-1 I This permitis issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. -,' I This project has finalland.use approval. Signature: I This project has DEQ 'approval. Signature: I Zoning approval verified: I Property is within nood plain: Date: I (a) Job description feR Ii 811 i7lpOdll<tiMi- R,o};w'ld (Hie ) I Occopancy) BR /1 BII '. . I Construction type: 'J/vlAr11ML<ld- Coy{J,,~ (VA) I ' , Sqoare feet: Sc, 7 :'iF 11.~~.,_~~~;,ti~~ _:"?_'~_'*W"~'0,)~,.g:..~~~~:~.~~~:".",." M",~;_~g*~~~~~~::~~aI_'**'~:bi11 Cost per square foot: JJ ~~ /~'F ;':d~'!z~aQ13.f,sIl:E~I/IIf,'98l1'1!,1TlgN;!!,I/II,I:;>EJ;g<::!,I'I'IOJII~,,;~;gj! I Other information: j::,te. d~W1C/I)t _4,., I 'PI i+ I Job site address: J.,-g N. n i!J Sf; ',Apr*q I I T fit R:\' ii":'/ . . . j - . j - ype 0 eat: a.lAlQ.Nvt"'"' rIfl/r,{' . ICity:6Pnl'llltlp,Ad lState: OR IZIPQ7477!I. . A/t'C/'iL 'I'A~ -=-..P~,efr I ' . . .J, lit" L. 'b1 ,/, . {J Energy Path. IV,tr~. IIIof' fA.! = "D -r vv Sobd,vISlon: 7 - ~ rl1lIlIm Lot no,: ,~, J I 0 l<>f., . \ r 10 "". . ~. m LJ(../ -. new lIftri alteratIOn D addition i~~~1c"tl~i~~;R~~8JfYjr6;ER~~~5~':7!~~ : ~~!:~~:~::i::~~nIY permit? 0 Yes lJ No I Address: ,~O;L F TovoYl llvo.. (1)S/..{ I City: ~I;\'A .JC~ . State LII I ZIP: 95/.:l.71 I Phone: J.fd.'r 891- !J/OcJ Fax'Jt\? . q,., - .~75'O I E.mail: P!.ii/vo..s;/v.IAc-o~C:.i.CoM This installation is being made on residential or fann property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. Date: DYes DYes DNo DNo \ (a) Permit fee (use valuation table): I (b) Investigative fee (equal to [2aJ): I (c) Rcinspection ($ per hour): (number of hours x fee per hour) I (d) Enter 12%surcharge(.12x[2a+2b+2c]): I (e) Subtolal of fees above (23 through 2d): l$/~ $ /'U. 7:;' $ l. 7.:-l./.&f1 Sign here: "I~",p:~:","f'FCONTRAtTOR"iNsTAi!i:1A:rloN\Ji,~~7!~'~'rZf~il I (a) Plan review (65% x permit fee [2a]): .... " ,'77'+ ~~~:'::~:AI/;~~;;R~~~;~j;;~i~;.:" ~21~..~, : ;:; ~~:t::i:;;:::;b~::~~: :;~~;:e [2a]) :~~ ~ ~1 r !I ~E:~:SlifjJr;:/,~Jf IB:,=~:C~;:,~n2.1 i~:~~:~~;t~~:!:::~:;:::~~:~:~~ <.mm: I I fi [ft? a f(aJ!1{Lr'PSTr:YTtAnoVl. UJ!/1I\ . " I CCB hcense no '; .s-3:L 3 b I " S.\.\" ..:F 5"3.r2-€r I Prm! name, ,RfAJ^A:I /-urt=;~' ..Y 1- Q..,l...t ::;~;.~~1~C~TION~4ili~~1 ~&~S}. I ~amc CCBLlcenseNumber I Phone Number /" ~ ~'/____A/.5 *- I Electrical /79;!)/~ 15'4/-gQS- -l!i//'(,!- ~ n~_' I Plumbing 1'3(, 903 IC:YI - q/') -/0001,- T <t- >* Mechanical / C, I 741 Z;L/l::.J!JJ.. - IO'1Qj 225 Fifth Street , . Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal.Number COM2009-0 1508 COM2009-0 1508 COM2009-0 1508 COM2009-0 1508 COM2009-0 1508 COM2009-0 1508 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 2200900000000001181 Date: 10/14/2009 Description ,Building Permit Fixture Mechanical-Value Minimum/Adjustment Mechanical + 5% Technology Fee, .+ 12% State Surcharge Paid By ALLIANCE RESTORA nON SVCS Hem Total: L'heck Numb~r Authorization Received By Batch Number Number How Received klk 005299 In Person , Payment Total: Page 1 of 1 9:59:18AM Amount Due 326,17 95,00 58.00 2100 25,01 60,02. $585.20 Amount Paid $585.20 $585.2U 10/14/2009